Amanda Marie Ralston, PA
NPI #1336800945 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1336800945
- Entity Type
- Individual
- Name
- Amanda Marie Ralston, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 5, 2022
- Last Updated
- Jan 5, 2022
Practice Location
- Address
- 90 HOPE DR BLDG 6000
- State
- Idaho
- ZIP Code
- 83648-1062
- Phone
- (208) 828-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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